Individual
RUTHE LAURORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4701 OWENS WAY STE 200, PRINCE GEORGE, VA 23875-2366
(804) 458-5500
(804) 458-5501
Mailing address
PO BOX 247, PRINCE GEORGE, VA 23875-0247
(804) 458-5500
(804) 458-5501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701005858
VA
103K00000X
Behavior Analyst
Primary
1-22-59860
—
Other
Enumeration date
07/11/2014
Last updated
09/09/2022
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